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General NPI Number Information
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NPI Number | 1780987875
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Entity Type | Organization
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Legal Business Name | DOZIE'S PHARMACY
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 12660 BEECHNUT ST SUITE 130
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City | HOUSTON
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State | TX
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Zip | 77072-3981
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Country | US
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Telephone | 281-933-6600
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Fax | 281-933-6601
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Provider Business Mailing Address
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Address Line | 12660 BEECHNUT ST SUITE 130
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City | HOUSTON
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State | TX
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Zip | 77072-3981
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Country | US
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Telephone | 281-933-6600
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Fax | 281-933-6601
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | DR. MARYQUEEN CHILAKA
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Credential | PHARM.D
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Telephone | 281-933-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 27283
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License Number State | TX
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